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Organization
ADOLESCENT CARE CENTER
Active
Organization
ADOLESCENT CARE CENTER
Active
Parent organization
GATES COUNTY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GATES COUNTY MEDICAL CENTER
Authorized official
SYLIVA BOONE R.N. (OFFICE MANAGER)
(252) 357-1226
Entity
Organization
Contact information
Practice address
88 US HIGHWAY 158 W, GATESVILLE, NC 27938-9438
(252) 357-1244
(252) 357-1690
Mailing address
88 US HIGHWAY 158 W, GATESVILLE, NC 27938-9438
(252) 357-1244
(252) 357-1690
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8701702
—
NC
Enumeration date
08/21/2007
Last updated
07/21/2022
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